An “Application for Request for Exemption” must be completed and returned along with the required documents noted on the checklist included in the application packet.

Who is eligible for an exemption?

• First, to be eligible for an exemption, individuals must not have been adjudicated with a disqualifying felony offense within the past 3 years.

• Secondly, individuals must demonstrate by clear and convincing evidence that they will not present a danger if employed within the healthcare field. Individuals seeking an exemption have the burden of setting forth sufficient evidence of rehabilitation.